Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

JUSTIN ADAM KARL

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1134366958
CMS profile
680655
Location
LAWRENCEVILLE, NJ

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2025 · Entire year

$1,649.24

83 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2025 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,585.25 82
Education $63.99 1

By paying entity

PY2025 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

JUSTIN ADAM KARL

NPI 1134366958 · CMS profile ID 680655

Allopathic & Osteopathic Physicians / Internal Medicine / Cardiovascular Disease

LAWRENCEVILLE, NJ

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1134366958?year=2025&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
JUSTIN ADAM KARL, NPI 1134366958, CMS profile ID 680655. General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1134366958?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
APA 7
IndustryPayments. (2026). JUSTIN ADAM KARL, NPI 1134366958, CMS profile ID 680655. General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1134366958?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
Bluebook
JUSTIN ADAM KARL, NPI 1134366958, CMS profile ID 680655, IndustryPayments, General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e. https://industrypayments.org/provider/npi-1134366958?year=2025&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2025

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

83 matching records · $1,649.24 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 83 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 83.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Novartis Pharmaceuticals Corporation $17.8912/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200258353 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.5012/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1225599374 CMS
BridgeBio Pharma, Inc. $15.8412/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250432553 CMS
AstraZeneca Pharmaceuticals LP $14.1812/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206879450 CMS
PFIZER INC. $18.9111/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1229331128 CMS
HEARTFLOW, INC. $17.2111/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233573654 CMS
Amgen Inc. $16.5111/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1228531313 CMS
MEDICOMP INC $20.1811/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1185532914 CMS
Novartis Pharmaceuticals Corporation $19.5811/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200258359 CMS
Amgen Inc. $17.7811/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1228531311 CMS
Novo Nordisk Inc $19.6010/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1189072833 CMS
Novartis Pharmaceuticals Corporation $13.6110/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325856 CMS
Novartis Pharmaceuticals Corporation $20.4010/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200258357 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.3810/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1225599372 CMS
Actelion Pharmaceuticals US, Inc. $63.9910/15/2025 Education No dispute reported Delay: No
Change: NEW
06/30/2026 1174258766 CMS
AOP Health US, LLC $336.3210/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1254955306 CMS
Novartis Pharmaceuticals Corporation $18.0009/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325852 CMS
Novartis Pharmaceuticals Corporation $4.7709/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325854 CMS
HEARTFLOW, INC. $3.9709/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233573669 CMS
Esperion Therapeutics, Inc. $13.7009/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1243963477 CMS
Amgen Inc. $17.9409/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1228531317 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.0908/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1225599370 CMS
Novartis Pharmaceuticals Corporation $18.0008/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325848 CMS
Novartis Pharmaceuticals Corporation $2.1808/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325850 CMS
E.R. Squibb & Sons, L.L.C. $14.4808/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1184887172 CMS
HEARTFLOW, INC. $20.6708/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233573658 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $22.8507/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1173649732 CMS
Alnylam Pharmaceuticals Inc. $18.0807/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1212788286 CMS
AstraZeneca Pharmaceuticals LP $17.8507/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206810179 CMS
Actelion Pharmaceuticals US, Inc. $16.1707/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1174258760 CMS
Amgen Inc. $17.2707/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1228531309 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.1707/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1223075942 CMS
Merck Sharp & Dohme LLC $17.4207/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238332059 CMS
Novartis Pharmaceuticals Corporation $1.2507/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325838 CMS
Novartis Pharmaceuticals Corporation $14.0507/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325840 CMS
Novartis Pharmaceuticals Corporation $0.1907/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325842 CMS
Novartis Pharmaceuticals Corporation $2.0507/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325846 CMS
HEARTFLOW, INC. $10.9406/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233573642 CMS
Novartis Pharmaceuticals Corporation $2.2206/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325836 CMS
Novartis Pharmaceuticals Corporation $13.4206/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1200325844 CMS
E.R. Squibb & Sons, L.L.C. $14.0306/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1184887136 CMS
HEARTFLOW, INC. $18.6406/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233573634 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.8606/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1223075940 CMS
PFIZER INC. $18.2005/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1228817424 CMS
Amgen Inc. $17.7205/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1228531321 CMS
Alnylam Pharmaceuticals Inc. $16.9605/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1212788276 CMS
Merck Sharp & Dohme LLC $17.1005/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238193272 CMS
Amgen Inc. $16.6804/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1228531315 CMS
PFIZER INC. $16.3204/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1231328118 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.8004/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1223075938 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,026.04 77
PY2020 $453.24 36
PY2021 $683.59 53
PY2022 $955.31 57
PY2023 $1,231.72 67
PY2024 $1,313.89 77
PY2025 $1,649.24 83

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.